Individual
MR. ANTHONY ALONZO FAVOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 SIDON AVE., LA HABRA, CA 90631
(734) 842-2232
Mailing address
2500 SIDON AVE., LA HABRA, CA 90631
(734) 842-2232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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